Utilization Management Jobs in Douglas Qld
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Health Cloud Data Model
Purple Drive
Role Descriptions: Health Cloud Location: Indianapolis IN Health Cloud Data Modelso Patients Care Program Care Program Enrollee Care Program EnrolleeProduct Health Cloud Console configuration Amazon call connect Conga Composer to design and send email/fax templates Email to CaseWeb to Case and Vani...
Utilization Mgmt Rn Ed Care Coordination Full Time...
Northwestern Memorial Healthcare
This position is in the ED: 6:00pm -2:00AM. Monday through Friday. No weekends /holidays. This is not a remote position. The Utilization Management RN reflects the mission vision and values of NM adheres to the organizations Code of Ethics and Corporate Compliance Program and complies with all rel...
Rn Case Management For Edobservation Full-time Day...
Trinity Health
Employment Type:Full timeShift:Day ShiftDescription:RN Case Management for ED/Observation Full Time Days/12hr shifts If you are looking for an RN position in Case Management and a regular schedule is your preference this could be your opportunity. Here at St. Peters Health Partners we care for more...
Physician Assistant Nurse Practitioner General Sur...
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryProvides assistant surgical services in the operating room as well as other selected medical services under the direction of the surgeon.Accountabilities* Provides general surgical assistant services in operating room.10%* Assists...
Physician Ortho Trauma Surgeon
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...
Physician Pediatric Cardiologist
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...
Physician Maternal Fetal Medicine (mfm) Obstetrics...
Prisma Health
Inspire health. Serve with compassion. Be the difference.Job SummaryThe Prisma Health Physician is responsible for the provision of quality medical services to patients of Prisma Health-University Medical GroupAccountabilitiesEngages in the diagnosis prevention or treatment of disease defects or inj...
Remote Community Based Clinical Coordinator Care M...
Upper Peninsula Health Plan
**Recruiting only in the following counties of Michigans Upper Peninsula: Chippewa Luce or Mackinac**DATE: May 6 2026POSITION: Remote Community Based Clinical Coordinator - Care ManagerDEPARTMENT: Clinical ServicesRATE: $29.72 per hour with potential for additional compensation based on qualificatio...
Medical Director – Genetic Testing Oncology
Elevance Health
Anticipated End Date:Position Title:Medical Director Genetic Testing OncologyJob Description:Medical Director Genetic Testing Oncology Location: This role enables associates to work virtually full-time with the exception of required in-person training sessions providing maximum flexibility and aut...
Chief, Addiction Medicine Division Associate Or Fu...
Frc
Classification Title:Chief Addiction Medicine Division / Associate or Full Professor Medical Director Florida Recovery Center (FRC)Job Description:The Department of Psychiatry at the University of Florida (UF) College of Medicine in Gainesville is seeking a Chief of the Addiction Medicine Division w...
Utilization Review Specialist Team Lead
Umpqua Health
UTILIZATION REVIEW SPECIALIST LEADHYBRID must be able to travel to 3031 NE STEPHENS ST. ROSEBURG OR 97470EMPLOYMENT TYPE: Full-Time ExemptAbout Umpqua HealthAt Umpqua Health were more than a healthcare organizationwere a community-driven Coordinated Care Organization (CCO) dedicated to improving the...
Rn Case Manager Weekends Carilion Franklin Memoria...
Carilion Franklin Memorial Hospital
Employment Status:Full timeShift:Weekends Only (United States of America)Facility:390 S Main St - Rocky MountRequisition Number:R160080 RN Case Manager - Weekends - Carilion Franklin Memorial Hospital (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management fo...
Operations Manager Stone Marble Fabrication
Cogent Talent Solutions
Our client is a trusted and established manufacturer of custom cultured marble fixtures serving the St. Louis metropolitan area since 1978. Known for its commitment to quality craftsmanship and customer satisfaction the company offers a wide range of products including countertops vanities and showe...
Rn Case Manager Weekends Carilion Franklin Memoria...
Carilion Franklin Memorial Hospital
Employment Status:Full timeShift:Weekends Only (United States of America)Facility:390 S Main St - Rocky MountRequisition Number:R160080 RN Case Manager - Weekends - Carilion Franklin Memorial Hospital (Open) How Youll Help Transform Healthcare:The RN Case Manager provides case management fo...
Epic Tapestry Utilization Management Analyst
Relig Staffing, Inc.
Role Summary We are seeking an experienced Epic Tapestry Utilization Management Analyst to design build optimize and support UM processes focused on authorizations and referrals. The ideal candidate is Epic Tapestry UM Certified has practical experience with Tapestry Care Link and is adept at transl...
Associate Director, Market Access Analytics
Sobi
The Associate Director Market Access Analytics is a senior individual contributor within Insights & Analytics exclusively dedicated to partnering with Sobi North Americas Market Access teams. Reporting to the Director Field Excellence & Market Access Analytics this role serves as the analytics thoug...
Utilization Management Clinician Per Diem
Pine Rest Christian Mental Health Services
Cost Center163 Utilization ManagementScheduled Weekly Hours0Work ShiftShift & StatusWho Are WeWe at Pine Rest believe in the power of healing and that everyone in our community has the right to expert care for mental health and substance use disorders. We are much more than just the third largest no...
Clinical Development Senior Medical Director-neuro...
Vertex Pharmaceuticals
Job DescriptionGeneral Summary:The Senior Medical Director will define the clinical development strategy of an asset work with cross-functional multidisciplinary teams to define overall asset strategy as well as clinical trials strategy design and execution and may serve as the Medical Lead for clin...
Manager Health Plan Clinical Operations Rn
Trinity Health
Employment Type:Full timeShift:Description:This position manages the activities of the Health Plan Clinical Services Team to ensure the achievement of department and company goals. The Clinical Manager will be responsible for overseeing the day-to-day clinical operations of the health plan including...
Case Manager I Scmg Integrated Care Mgmnt System S...
Sharp Healthcare
Hours:Shift Start Time:8 AMShift End Time:4:30 PMAWS Hours Requirement:8/80 - 8 Hour ShiftAdditional Shift Information:Weekend Requirements:No WeekendsOn-Call Required:NoHourly Pay Range (Minimum - Midpoint - Maximum):$61.740 - $70.170 - $90.160The stated pay scale reflects the range as defined by t...